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Individual

RANDALL WILKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AUD

Contact information

Practice address
1218 13TH AVE SE, DECATUR, AL 35601-4307
(256) 355-6200
(256) 355-6241
Mailing address
1218 13TH AVE SE, DECATUR, AL 35601-4307
(256) 355-6200
(256) 355-6241

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0872A
AL

Other

Enumeration date
03/24/2008
Last updated
01/21/2010
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